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在巴西针对艾滋病毒高感染风险的青少年开展外展活动:推广暴露前预防和其他艾滋病毒综合预防方法的策略。

Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods.

机构信息

Departamento de Ciências da Vida, Universidade do Estado da Bahia, Rua Silveira Martins, 2555, Cabula41.150-000, Salvador, Bahia, Brazil.

Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia, Brazil.

出版信息

Arch Sex Behav. 2023 Feb;52(2):703-719. doi: 10.1007/s10508-022-02371-y. Epub 2022 Jul 25.


DOI:10.1007/s10508-022-02371-y
PMID:35876978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9310684/
Abstract

Using baseline data from the PrEP1519 cohort, in this article we aimed to analyze: (i) the effectiveness of demand creation strategies (DCS) to enroll adolescent men who have sex with men (AMSM) and adolescent transgender women (ATGW) into an HIV combination prevention study in Brazil; (ii) the predictors of DCS for adolescents' enrollment; and (iii) the factors associated with DCS by comparing online and face-to-face strategies for enrollment. The DCS included peer recruitment (i.e., online and face-to-face) and referrals from health services and non-governmental organizations (NGOs). AMSM and ATGW who agreed to participate in the study could opt to enroll in either PrEP (PrEP arm) or to use other prevention methods (non-PrEP arm). Bivariate and multivariate analyses were conducted and logistic regression odds ratios were estimated. The DCS reached 4529 AMSM and ATGW, the majority of which were derived online (73.8%). Of this total, 935 (20.6%) enrolled to participate (76.6% in PrEP arm and 23.4% in non-PrEP arm). The effectiveness of enrolling adolescents into both arms was greater via direct referrals (235/382 and 84/382, respectively) and face-to-face peer recruitment (139/670 and 35/670, respectively) than online (328/3342). We found that a combination under DCS was required for successful enrollment in PrEP, with online strategies majorly tending to enroll adolescents of a higher socioeconomic status. Our findings reinforce the need for DCS that actively reaches out to all adolescents at the greatest risk for HIV infection, irrespective of their socioeconomic status.

摘要

利用 PrEP1519 队列的基线数据,本文旨在分析:(i) 需求创造策略(DCS)在招募巴西青少年男男性行为者(AMSM)和青少年跨性别女性(ATGW)参与 HIV 综合预防研究中的有效性;(ii) 青少年入组的 DCS 预测因素;(iii) 通过比较线上和线下招募策略,分析与 DCS 相关的因素。DCS 包括同伴招募(即线上和线下)和卫生服务机构及非政府组织(NGO)的转介。同意参与研究的 AMSM 和 ATGW 可以选择参加 PrEP(PrEP 组)或使用其他预防方法(非 PrEP 组)。进行了单变量和多变量分析,并估计了逻辑回归比值比。DCS 覆盖了 4529 名 AMSM 和 ATGW,其中大部分是通过线上渠道招募的(73.8%)。在这一总数中,有 935 人(20.6%)报名参加(76.6%在 PrEP 组,23.4%在非 PrEP 组)。通过直接转介(分别为 235/382 和 84/382)和面对面的同伴招募(分别为 139/670 和 35/670),入组青少年到两个组的效果都大于线上招募(分别为 328/3342)。我们发现,需要通过 DCS 组合才能成功招募到 PrEP 参与者,线上策略主要倾向于招募社会经济地位较高的青少年。我们的研究结果强化了需要采取积极的 DCS,以接触到所有感染 HIV 风险最高的青少年,而不论其社会经济地位如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deec/9886622/9a17ecbf6f31/10508_2022_2371_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deec/9886622/6bd4f834a921/10508_2022_2371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deec/9886622/9a17ecbf6f31/10508_2022_2371_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deec/9886622/6bd4f834a921/10508_2022_2371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deec/9886622/9a17ecbf6f31/10508_2022_2371_Fig2_HTML.jpg

相似文献

[1]
Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods.

Arch Sex Behav. 2023-2

[2]
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J Med Internet Res. 2023-6-23

[3]
Adherence, Safety, and Feasibility of HIV Pre-Exposure Prophylaxis Among Adolescent Men Who Have Sex With Men and Transgender Women in Brazil (PrEP1519 Study).

J Adolesc Health. 2023-12

[4]
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BMC Infect Dis. 2023-11-14

[5]
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[6]
Same-Day Initiation of Oral Pre-Exposure Prophylaxis is High Among Adolescent Men Who Have Sex With Men and Transgender Women in Brazil.

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[7]
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[8]
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[9]
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Rev Saude Publica. 2024

[10]
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Cad Saude Publica. 2024

引用本文的文献

[1]
Awareness and intention to use event-driven and long-acting injectable pre-exposure prophylaxis among adolescent and young men who have sex with men and transgender women in Brazil: a cross-sectional study.

J Int AIDS Soc. 2025-7

[2]
Mobile Health Intervention Tools Promoting HIV Pre-Exposure Prophylaxis Among Adolescent Girls and Young Women in Sub-Saharan Africa: Scoping Review.

JMIR Mhealth Uhealth. 2025-6-20

[3]
PrEP demand creation strategies for adolescents at increased risk of HIV infection in São Paulo, Brazil: a cost-consequence analysis.

BMC Health Serv Res. 2025-2-13

[4]
Recommendations for physician appointments of LGBTQIA+ adolescents with chronic conditions.

Clinics (Sao Paulo). 2024-10-19

[5]
Prep provision in community organizations: a comparative study with conventional services.

Rev Saude Publica. 2024

[6]
Risk and pleasure in the era of pharmacologically safe sex.

Rev Saude Publica. 2024

[7]
Social representations of HIV and healthcare among recently diagnosed youth.

Rev Saude Publica. 2024

[8]
Recent HIV infections and estimated HIV incidence among adolescents from key populations.

Rev Saude Publica. 2024

[9]
New horizons in sexual health: exploring PrEP and HIV incidence in adolescents.

Rev Saude Publica. 2024-10-11

[10]
HIV prevention among marginalized adolescents: PrEP1519 results and perspectives.

Rev Saude Publica. 2024-10-11

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